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ACCE 2022  Symposium Lecture Schedule
2022 Marks The 5th Annual ACCE Symposium and We Are Proud to Offer a Panel of World-Renowned Leaders in Electrodiagnosis To Quench Your Thirst for Clinical Excellence!  

NOTE: The American College of Clinical Electrodiagnosis is of the Council of Chiropractic Physiological Therapeutics & Rehabilitation of the ACA

March 25th, Friday
12:00 pm – 12:50 pm: Wendy Sebetka, R.NCS.T: Nerve Conduction Study Waveform Recognition.
This presentation will discuss the importance of waveform recognition and help the audience to develop an understanding into why the generated potentials look the way they do based on physiological and technical factors.
Upon completion of this presentation attendees will;
1. Understand the predictability of NCS waveforms based on their muscle innervations
2. Understand the importance of recognizing technical vs physiological waveform generation
3. Be able to recognize proper waveform morphology, normal and abnormal
4. Be able to associate waveform morphology with abnormality

1:00 pm – 1:50 pm: Jun Kimura, MD: Lecture on Basic Physiology and Waveform Analysis.
This presentation will discuss the basic physiology behind the electrical properties of nerves and muscles for the purpose of understanding electrodiagnostic data.
Upon completion of this presentation attendees will;
1. Be able to explain the electrical properties of the nerve and muscle
2. Understand the basic physiology on how the motor and sensory nerve generate and propagate an action potential, which underscores proper interpretation of electrodiagnostic studies

2:00 pm – 2:50 pm: Sanjeev Nandedkar, PhD: Instrumentation - Objectives: (1) Understand
signal amplification in presence of noise (2) Filters and how they affect signals and their
measurements (3) Analog to digital conversion of signal and associated pitfalls (4) Reduce noise
and artifacts in nerve conduction studies.

3:00 pm – 3:50 pm: Sanjeev Nandedkar, PhD: Autonomic Nervous System Testing –:
Objectives: (1) Overview of anatomy (2) Sympathetic skin response recording (3)
R-R interval analysis (4) Demonstration of recording and analysis.

4:00 pm – 4:50 pm: Jun Kimura, MD: Demonstrate The Use of Inching Studies for The
Nerves in The Upper and Lower Limb.
Session will consist of discussion and demonstration of inching techniques involving nerves in the upper and lower extremities.
Upon completion of this session attendees will;
1. Understand the concepts and techniques used in performing inching studies
2. Be able to recognize proper use of inching technique
3. Be aware of challenges associated with, and how to deal with them.

5:00 pm – 5:50 pm: Wendy Sebetka, R.NCS.T: Demonstration: Workup for Mononeuropathies
and Other Disorders: Carpal Tunnel Workup (Routine studies, comparison studies: Motor and
Sensory), Ulnar Neuropathy Workup (Routine studies, FDI, Inching).
This session will discuss concepts and techniques for performing nerve conduction studies used to diagnose upper extremity mononeuropathies, ie. Carpal Tunnel Syndrome and Ulnar Neuropathy. Session will consist of discussion and demonstration of various techniques and associated comparison studies.
Upon completion of this session attendees will;
1. Understand the concepts and techniques used in performing upper extremity nerve conduction studies
2. Be able to recognize electrodiagnostic abnormalities associated with upper extremity mononeuropathies
3. Appreciate multiple techniques used to diagnose Carpal Tunnel Syndrome and other upper extremity mononeuropathies

March 26th, Saturday
8:00 am - 8:50am - Jun Kimura, MD: Demonstrate on the use of late responses (F, H and A)
for Neuropathies.
Session will consist of discussion and demonstration of late responses for use of diagnosing neuropathy.
Upon completion of this session attendees will;
1. Understand the concepts and techniques used in performing late responses
2. Be able to recognize when it is appropriate to perform specific late response techniques
Be aware of clinical diagnosis that will benefit from the use of late responses

9:00 am - 9:50am - Sanjeev Nandedkar, PhD: EMG waveform recognition: Spontaneous
activity (Video Lab) – Objectives: (1) Assessment of insertional activity (2) Recognizing spontaneous activity (3) Activity generated in muscle (fibrillations, positive sharp waves, complex repetitive discharge, myotonic discharge) (4) Activity originating from nerve/neuron (Fasciculation potential, Myokymic discharges, Neuromyotonic, Cramp).

10:00 am -10:50am: Sanjeev Nandedkar, PhD: EMG Waveform Recognition: Volitional
activity (Video Lab): Objectives: (1) Motor unit potential waveform analysis (2) Recruitment of motor units (Facts and fancies) (3) Interference pattern analysis.

11:00 am - 11:50 am - Wendy Sebetka, R.NCS.T: Peroneal Neuropathy (Routine, Inching),
Brachial Plexus (Axillary, Radial Sensory, Brachial Cutaneous Nerves of the
Forearm.
This session will discuss concepts and techniques for performing remaining routine nerve conduction studies and associated diagnosis with a focus on brachial plexus workup. Session will consist of discussion and demonstration of various techniques involving the ulnar, radial, peroneal, tibial, sural axillary and brachial cutaneous nerves of the forearm.
Upon completion of this session attendees will;
1. Understand the concepts and techniques used in performing routine nerve conduction studies
2. Be able to recognize electrodiagnostic abnormalities associated with individual nerves
3. Appreciate multiple techniques used to diagnose associated disorders
4. Understand specific nerves and techniques necessary for a complete brachial plexus workup

12:00-12:59 LUNCH

1:00 pm -1:50 pm - Wendy Sebetka, R.NCS.T: Cranial Mononeuropathies with
Demonstration of Facial Nerve, Blink Reflex and Spinal Accessory.
This presentation will discuss an overview of cranial nerves and their clinical applications and NCS techniques.
Upon completion of this session attendees will;
1. Be familiar with the cranial nerves, their functions and related nerve conduction study techniques
2. Understand basic physiology associated with blink reflex and facial nerve conductions
3. Be familiar with case studies involving cranial nerve disorders

2:00 pm - 2:50 pm – Jeff Strakowski, MD: Ultrasound Evaluation of Peripheral Nerves – Live Demonstration. Description and Objective: Understand the clinical evaluation of the peripheral nerves throughout the body utilizing high frequency ultrasound. Understand the benefit of using diagnostic ultrasound in conjunction with electrodiagnostic studies.

3:00 pm - 3:50 pm - Jeff Strakowski, MD: Electrodiagnosis and Ultrasound Evaluation of the Brachial Plexus. Description and Objective: Overview of the benefits utilizing the combination of electrodiagnosis and diagnostic ultrasound in evaluating lesions of the brachial plexus. Understand the clinical evaluation of the brachial plexus along with basic understanding of diagnostic ultrasound technique in evaluating the brachial plexus.

4:00 pm - 4:50 pm – Jeff Strakowski, MD: Electrodiagnosis and Ultrasound of the Median Nerve. Description and Objective: Overview of technique and localization of the median nerve anatomy utilizing diagnostic ultrasound. Understand the clinical evaluation of the median nerve
along with common entrapment points. Basic understanding of diagnostic ultrasound technique in evaluating the median nerve and common entrapment points.

5:00-5:50 pm – Jeff Strakowski, MD: Electrodiagnosis and Ultrasound of the Ulnar Nerve. Description and Objective: Overview of technique and localization of the ulnar nerve anatomy utilizing diagnostic ultrasound. Understand the clinical evaluation of the ulnar nerve along with common entrapment points. Basic understanding of diagnostic ultrasound technique in evaluating the ulnar nerve and common entrapment points.

March 27th, Sunday

8:00am-8:50am – Steven Conway, DC, DABCOH, Esq.: Ethics: Medicare Documentation
Description and Objective: Review of Medicare guidelines and definitions for chiropractic treatment and required documentation. Active Treatment: Understanding the clinical requirements to support active treatment designation. Understanding the clinical applications of Medicare maintenance documentation. The use of specific measurable goals and clinical treatment plans in the determination of medically necessary care. Summary of proper documentation of precipitating event and mechanisms of trauma relating to presenting symptoms. Proper PART analysis to determine the subluxation causally related to the symptoms. The proper development of the clinical treatment plan. Understanding the application of the ABN form in the clinical treatment plan process. Concluding with a discussion of the documentation self-checklist.

9:00am-9:50am - Steven Conway, DC, DABCOH, Esq.: Ethics: Medicare Compliance
Description and Objective: Use of actual case studies to review and understand Medicare compliance requirements including opting out, inducement and OIG exclusion procedures.

10:00am-10:50am - Steven Conway, DC, DABCOH, Esq.: Ethics: Compliance for Chiropractic Office
Description and Objective: The use of actual case studies to review and understand ethical office procedures including billing and coding for services, timed therapy services and EHR issues including cloning.

11:00am-11:50am - Luis Vera, DC, FIACN, DIBCN, FIBE, DIBE, DABCE: Case Study:
Diagnosis of Multiple Sensory Neuropathies via Electrodiagnostic Examination
an Impactful Event
Description and Objective: To establish electrophysiological evidence of multiple sensory and motor peripheral nerve lesions post trauma in a patient after being struck by a motor vehicle. Documented evidence of videography from the injury will be demonstrated.

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CHIROPRACTIC CONTINUING EDUCATION

We have applied to the following states for CE approval for the symposium: CA, CO, CT, FL, GA, IL, MD, NJ, NM, NY, NC, OH, OK, OR, PA, SC, TX, VA, WA. If you do not see your state listed please contact National University of Health Sciences directly for further information, see below.

CE Credit applied for by: National University of Health Sciences

Lincoln College of Postprofessional, Graduate and Continuing Education

200 E. Roosevelt Rd. ● Lombard, IL 60148 ● (630) 889 – 6622  

Registrants are welcome to contact National University of Health Sciences directly for information on CE approval in their state(s).

*** NOTE: No medical continuing education hours have been applied for. No approval has been applied for with the American Chiropractic Neurology Board.



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